Healthcare Provider Details
I. General information
NPI: 1629495486
Provider Name (Legal Business Name): AAC-AIR AMBULANCE CARIBBEAN INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2014
Last Update Date: 08/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8204 LINDBERG BAY STE 4
ST THOMAS VI
00802-6000
US
IV. Provider business mailing address
PO BOX 55
WATSONTOWN PA
17777-0055
US
V. Phone/Fax
- Phone: 340-513-1956
- Fax: 888-701-1026
- Phone: 340-715-7942
- Fax: 888-701-1026
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416A0800X |
| Taxonomy | Air Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRENDAN
C
ANZALONE
Title or Position: PRESIDENT OF AAC-AIR AMBULANCE CARI
Credential: DO
Phone: 340-715-7942